Individual
MR. CANDLER GRADY MATHEWS III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
120 GATEWAY CORPORATE BLVD, COLUMBIA, SC 29203-9611
(803) 865-4500
Mailing address
PO BOX 23321, NEW YORK, NY 10087-4321
(803) 840-3619
Taxonomy
Speciality
Code
Description
License number
State
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
Primary
94309
SC
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/04/2019
Last updated
08/19/2025
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